Organization
GLENFLORA
Active
Other names
NC Cancer Institute
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDALL KROPP (EXECUTIVE DIRECTOR)
(910) 739-2821
Entity
Organization
Contact information
Practice address
5701 N FAYETTEVILLE RD, LUMBERTON, NC 28360-2163
(910) 739-2821
Mailing address
5701 N FAYETTEVILLE RD, LUMBERTON, NC 28360-2163
(910) 739-2821
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
NH0533
NC
314000000X
Skilled Nursing Facility
Primary
NH0533
NC
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3405194
—
NC
05
—
3496069
—
NC
05
—
7804192
—
NC
Enumeration date
01/02/2007
Last updated
02/04/2026
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